Korean J Gastroenterol Vol. 62 No.

1, 75-77
http://dx.doi.org/10.4166/kjg.2013.62.1.75
pISSN 1598-9992 eISSN 2233-6869

IMAGE OF THE MONTH

Chronic Gastric Volvulus by Diaphragmatic Hernia and Gastroparesis

Hyeran Kang and Yunju Jo
Department of Internal Medicine, Eulji University School of Medicine, Seoul, Korea

: 72 1 5

5,610/mm , 9.6 g/dL, 213,000/mm

20.4 mg/dL,

, ,

0.7 mg/dL, 3.3 g/dL, 5.8 g/dL.

. , ,

. 1

, , (LA classi-

fication-B) .

140/90 mmHg, 86/, 20/,

(Fig. 1)

37.4 C

Fig. 1. Endoscopic findings. (A) The

large amount of gastric juice and food
was seen in the stomach. Endoscopic
approach from the fundus to lower
body was impossible. White arrow is
pointing direction to the lower body.
(B) The entry of hernia sac (black
arrow) was seen at the fundus.

CC This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/
by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

: , 139-872, 14,
Correspondence to: Yunju Jo, Division of Gastroenterology, Eulji General Hospital, 14 Hangeulbiseong-ro, Nowon-gu, Seoul 139-872, Korea. Tel: +82-2-970-8624, Fax:
+82-2-970-8621, E-mail: jyj1138@eulji.ac.kr
Financial support: None. Conflict of interest: None.

Korean J Gastroenterol, Vol. 62 No. 1, July 2013

www.kjg.or.kr

76

, .

(Fig. 2).

(Fig. 3B).

(Fig. 3A).

. ,

, 3 6 kg

, ,

Fig. 2. Computed tomography findings. (A) It showed marked distension of the upper body and fundus of
the stomach and air-fluid level. Lower
part of the stomach was collapsed
and twisted (black arrow). (B) The
hernia sac was seen in the thoracic
cavity (white arrow).

Fig. 3. (A) Preoperative upper gastrointestinal series. It showed hernia sac,

dilated upper body and fundus with
underflow of barium, and twisted and
collapsed lower body and antrum. (B)
Follow-up of postoperative upper gastrointestinal series. It showed normal
anatomical structure of stomach without herniated sac.
The Korean Journal of Gastroenterology

Kang H and Jo Y. Chronic Gastric Volvulus by Diaphragmatic Hernia and Gastroparesis

77

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, 50 ,

. ,

, ,

2
.

REFERENCES

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,
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Borchardts triad
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1

4
.

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acute and chronic presentation. Clin Imaging 2003;27:265268.
4. Chau B, Dufel S. Gastric volvulus. Emerg Med J 2007;24:446447.

Vol. 62 No. 1, July 2013